| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.28 | $270.00 | $270.00 | |
Aetna
| Professional | $71.64 | $77.37 | $78.33 | |
CareSource
| Facility | $105.07 | $128.94 | $143.28 | |
CareSource
| Professional | $114.62 | $114.62 | $128.94 | |
Cigna
| Facility | $77.61 | $186.87 | $286.55 | |
Cigna
| Professional | $45.92 | $137.32 | $460.41 | |
Highmark BCBS
| Facility | $225.74 | $225.74 | $225.74 | |
United
| Professional | $42.98 | $47.76 | $142.97 |